Active NPI
Pahua Health Inc
- Community Based Hospice Care Agency
- Clarksville, TN
National Provider Identifier
1568299469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PAHUA HEALTH INC
- Doing business as
- Interim Healthcare TN
- Practice address
- 540 Heritage Pointe Dr Ste a
Clarksville, TN 37042-1006 - Phone
- (615) 989-6753
- NPI assigned
- Sep 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Pahua, RN, MSN, APRN
- Title
- Administrator
- Phone
- (818) 317-3013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
540 Heritage Pointe Dr Ste a
Clarksville, TN 37042-1006
Mailing address
540 Heritage Pointe Dr Ste a
Clarksville, TN 37042-1006
Phone (615) 989-6753
Other names 1
- Interim Healthcare TN
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2324828 | Interim Healthcare TN | Certificate of waiver | Jun 1, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Interim Healthcare of Montgomery County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Clarksville, TN
- NPI 1205566288
Locations
540 Heritage Pointe Dr
Ste A
Clarksville, TN 37042
Phone (615) 433-6417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1568299469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 HERITAGE POINTE DR STE A",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370421006",
"telephone_number": "615-989-6753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 HERITAGE POINTE DR STE A",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370421006",
"telephone_number": "615-989-6753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAHUA HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "PAHUA",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "818-317-3013",
"authorized_official_credential": "RN, MSN, APRN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Interim Healthcare TN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.